Provider Demographics
NPI:1649566761
Name:DAMRON, MARGARET (DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:DAMRON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 RICHMOND ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1204
Mailing Address - Country:US
Mailing Address - Phone:859-268-5707
Mailing Address - Fax:859-268-5636
Practice Address - Street 1:1900 RICHMOND ROAD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1204
Practice Address - Country:US
Practice Address - Phone:859-268-5707
Practice Address - Fax:859-268-5636
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005311225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist